Deborah Antoniou, ED.S, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15093 Issued in FL

Practice address

16414 Lake Church Dr
Odessa, FL 33556-2637

Phone

(917) 328-3623

NPI assigned

Mar 21, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295034957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 LAKE CHURCH DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562637",
            "telephone_number": "917-328-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 LAKE CHURCH DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562637",
            "telephone_number": "917-328-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8532 Canterbury Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336196674",
            "country_code": "US",
            "telephone_number": "917-328-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIOU",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "ED.S, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "0-02-0492",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-15093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Alaimo, PHARMD
• All in One DME LLC
• Vina Thakor Amin, RPH
• Anita Andrekovic
• Anesthesia Dynamics, LLC
• Gonzalo Arboleda, APRN
• ASC of Trinity (Comprehensive Outpatient Joint and Spine Institute)
• Asg Support Services Inc
• Aviezri Healthcare LLC
• Melody Noel Baade, MD

• Behavior Analyst in Odessa, FL
• Providers in Odessa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.